<%@ page language="java" import="java.util.*" pageEncoding="utf-8"%>
<%@ include file="/comm/common.jsp" %>

<!DOCTYPE html>
<html lang="zh-cn">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
<meta name="renderer" content="webkit">
<title></title>
<link rel="stylesheet" href="<%=path %>/css/pintuer.css">
<link rel="stylesheet" href="<%=path %>/css/admin.css">
<script src="<%=path %>/js/jquery.js"></script>
<script src="<%=path %>/js/pintuer.js"></script>
</head>
<body><div class="panel admin-panel">
  <div class="panel-head" id="add"><strong><span class="icon-pencil-square-o"></span>添加报销记录</strong></div>
  <div class="body-content">
    <form method="post" class="form-x" action="<%=path%>/system/Bxmessage_save.action">  
      <div class="form-group">
        <div class="label">
          <label>身份证号：</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="bxmessageForm.cardNo" data-validate="required:请输入身份证号" />
          <div class="tips"></div>
        </div>
      </div>
        <div class="form-group">
        <div class="label">
          <label>经办人：</label>
        </div>
        <div class="field">
          <input type="text" class="input w50" value="" name="bxmessageForm.full_name" data-validate="required:请输入经办人" />
          <div class="tips"></div>
        </div>
      </div>  
       <div class="form-group">
          <div class="label">
            <label>报销时间：</label>
          </div>
          <div class="field">
          <s:select list="zcPolicyList" cssClass="input w50" name="bxmessageForm.thetime" theme="simple" listKey="runyear" listValue="runyear" value="bxmessageForm.thetime" headerKey="" headerValue="选择报销年份"></s:select>
            
            <div class="tips"></div>
          </div>
        </div>
     
      

      <div class="form-group">
        <div class="label">
          <label></label>
        </div>
        <div class="field">
          <button class="button bg-main icon-check-square-o" type="submit"> 提交</button>
        </div>
      </div>
    </form>
  </div>
</div>

</body>
</body>
</html>